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Organization

CENTER FOR HUMAN DEVELOPMENT OF WHITE BEAR LAKE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY L SOETE (ADMINISTRATIVE DIRECTOR)
(651) 426-8191
Entity
Organization

Contact information

Practice address
4505 WHITE BEAR PKWY, SUITE 1800, WHITE BEAR LAKE, MN 55110-3678
(651) 426-8191
(651) 426-6766
Mailing address
4505 WHITE BEAR PKWY, SUITE 1800, WHITE BEAR LAKE, MN 55110-3678
(651) 426-8191
(651) 426-6766

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
104100000X
Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103074
UCARE
MN
05
790082100
MN
Enumeration date
10/18/2006
Last updated
09/11/2025
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